DR. LAURIE ANN DECKARD-TANKERSLEY PSY.D.
NPI 1083659445
Psychologist - Clinical in Ormond Beach, FL

Q: What is Laurie Deckard-tankersley's NPI number?

The NPI number for Laurie Deckard-tankersley is 1083659445. It was assigned to this individual provider in the NPPES registry on June 19, 2006.

Q: What is Laurie Deckard-tankersley's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Active since June 19, 2006PECOS EnrolledAccepts Medicare Assignment

137 MILL SPRING PL, ORMOND BEACH, FL 32174(773) 733-6629(386) 463-2170 Get Directions Write a Review

NPPES record last updated: April 19, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Dr. Laurie Ann Deckard-tankersley Psy.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. LAURIE ANN DECKARD-TANKERSLEY PSY.D. (NPI 1083659445) is an individual clinical provider in Ormond Beach, Florida, licensed in Illinois (071006688) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS and is a graduate of Other (2003).

NPPES Registry Identity

NPI1083659445

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. LAURIE ANN DECKARD-TANKERSLEYCredential: PSY.D.

Location Address137 MILL SPRING PLOrmond Beach, FL 32174-4820

Mailing Address137 Mill Spring PlOrmond Beach, FL 32174-4820 · (773) 733-6629 · Fax (386) 463-2170

Phone(773) 733-6629

Fax(386) 463-2170

Sole ProprietorYes

Medical School CMSOtherGraduated 2003

Enumeration DateJune 19, 2006

Last NPPES UpdateApril 19, 2018

✔ NPI 1083659445 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in IL · 071006688

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

137 MILL SPRING PL, Ormond Beach, FL 32174

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health Maintenance Organization of Florida, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Laurie Ann Deckard-tankersley Psy.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1456452770

PECOS Enrollment IDI20251002002225

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Laurie Deckard-tankersley reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Sailor Health Medical PA

248 mi

Psychologist

2332 GALIANO ST FL 2
Coral Gables, FL 33134

Reassigned Medicare billing, Florida enrollment
109 clinicians in this Medicare group

NPI 1841012960 (786) 269-0333

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32174 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$171.84 typical visit price

range $56.00 – $171.84

Typical copayment $42.96 (range $14.00 – $42.96)

Most-billed visit code 99205

Established Patient

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PROGRESSIVE PSYCHOLOGICAL SERVICES

Psychologist (Clinical)

137 MILL SPRING PL
ORMOND BEACH, FL 32174

Flagler County (773) 733-6629

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Laurie Deckard-tankersley's NPI number?

The NPI number for Laurie Deckard-tankersley is 1083659445. It was assigned to this individual provider in the NPPES registry on June 19, 2006.

Where is Laurie Deckard-tankersley located?

Laurie Deckard-tankersley practices at 137 Mill Spring Pl, Ormond Beach, FL 32174. The listed phone number is (773) 733-6629.

What is Laurie Deckard-tankersley's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Laurie Deckard-tankersley enrolled in Medicare?

Yes. Laurie Deckard-tankersley is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Laurie Deckard-tankersley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Laurie Deckard-tankersley reassigns Medicare benefits to Sailor Health Medical PA (Coral Gables, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Laurie Deckard-tankersley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Laurie Deckard-tankersley accept?

Health plans from Oscar Health Maintenance Organization of Florida and UnitedHealthcare list Laurie Deckard-tankersley as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Laurie Deckard-tankersley was last updated on April 19, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.